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EP3269360A1 - Procédé de fabrication de particules pour utiliser dans une composition pharmaceutique - Google Patents

Procédé de fabrication de particules pour utiliser dans une composition pharmaceutique Download PDF

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Publication number
EP3269360A1
EP3269360A1 EP17184081.2A EP17184081A EP3269360A1 EP 3269360 A1 EP3269360 A1 EP 3269360A1 EP 17184081 A EP17184081 A EP 17184081A EP 3269360 A1 EP3269360 A1 EP 3269360A1
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EP
European Patent Office
Prior art keywords
particles
active
milling
additive
active particles
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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EP17184081.2A
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German (de)
English (en)
Inventor
John Nicholas Staniforth
Matthew Michael James Green
David Alexander Vodden Morton
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Vectura Ltd
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Vectura Ltd
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Priority claimed from GB0029261A external-priority patent/GB0029261D0/en
Priority claimed from GB0030946A external-priority patent/GB0030946D0/en
Priority claimed from PCT/GB2001/001606 external-priority patent/WO2001076575A2/fr
Priority claimed from GB0124010A external-priority patent/GB0124010D0/en
Application filed by Vectura Ltd filed Critical Vectura Ltd
Priority claimed from EP01998328.7A external-priority patent/EP1337240B2/fr
Publication of EP3269360A1 publication Critical patent/EP3269360A1/fr
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A61K9/51—Nanocapsules; Nanoparticles
    • A61K9/5107—Excipients; Inactive ingredients
    • A61K9/5115—Inorganic compounds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/13—Amines
    • A61K31/135—Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/137—Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/10—Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/12—Carboxylic acids; Salts or anhydrides thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/32—Macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. carbomers, poly(meth)acrylates, or polyvinyl pyrrolidone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/44—Oils, fats or waxes according to two or more groups of A61K47/02-A61K47/42; Natural or modified natural oils, fats or waxes, e.g. castor oil, polyethoxylated castor oil, montan wax, lignite, shellac, rosin, beeswax or lanolin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/0012—Galenical forms characterised by the site of application
    • A61K9/007—Pulmonary tract; Aromatherapy
    • A61K9/0073—Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy
    • A61K9/0075—Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy for inhalation via a dry powder inhaler [DPI], e.g. comprising micronized drug mixed with lactose carrier particles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/0012—Galenical forms characterised by the site of application
    • A61K9/007—Pulmonary tract; Aromatherapy
    • A61K9/0073—Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy
    • A61K9/008—Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy comprising drug dissolved or suspended in liquid propellant for inhalation via a pressurized metered dose inhaler [MDI]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/141—Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers
    • A61K9/145—Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers with organic compounds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/1605—Excipients; Inactive ingredients
    • A61K9/1617—Organic compounds, e.g. phospholipids, fats
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/167—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction with an outer layer or coating comprising drug; with chemically bound drugs or non-active substances on their surface
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A61K9/5005—Wall or coating material
    • A61K9/501—Inorganic compounds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A61K9/5005—Wall or coating material
    • A61K9/5015—Organic compounds, e.g. fats, sugars
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A61K9/5089—Processes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00—Drugs for disorders of the respiratory system
    • A61P11/06—Antiasthmatics

Definitions

  • the present invention relates to particles and to methods of making particles.
  • the invention relates to methods of making composite active particles comprising a pharmaceutically active material for inhalation.
  • pMDI's pressurised metered dose inhalers
  • DPI's dry powder inhalers
  • the size of the active particles is of great importance in determining the site of the absorption. In order that the particles be carried deep into the lungs, the particles must be very fine, for example having a mass median aerodynamic diameter of less than 10 ⁇ m. Particles having aerodynamic diameters greater than 10 ⁇ m are likely to impact the walls of the throat and generally do not reach the lung. Particles having aerodynamic diameters in the range of 5 ⁇ m to 0.5 ⁇ m will generally be deposited in the respiratory bronchioles whereas smaller particles having aerodynamic diameters in the range of 2 to 0.05 ⁇ m are likely to be deposited in the alveoli.
  • Such small particles are, however, thermodynamically unstable due to their high surface area to volume ratio, which provides significant excess surface free energy and encourages particles to agglomerate.
  • agglomeration of small particles and adherence of particles to the walls of the inhaler are problems that result in the active particles leaving the inhaler as large agglomerates or being unable to leave the inhaler and remaining adhered to the interior of the inhaler.
  • dry powders for use in dry powder inhalers often include particles of an excipient material mixed with the fine particles of active material.
  • particles of excipient material may be coarse, for example, having mass median aerodynamic diameters greater than 90 ⁇ , (such coarse particles are referred to as carrier particles) or they may be fine.
  • composition additive materials are thought to reduce the attractive forces between the particles thereby promoting their dispersal.
  • Compositions comprising fine active particles and additive materials are disclosed in WO 97/03649 .
  • Fine particles of active material suitable for pulmonary administration have often been prepared by milling, for example, jet milling. However, once the particles reach a minimum size referred to as the critical size, they re-combine at the same rate as being fractured, or do not fracture effectively and therefore do not reduce further in size. Thus, manufacture of fine particles by milling can require much effort and there are factors which consequently place limits on the minimum size of particles of active material which can be achieved, in practice, by such milling processes.
  • the present invention provides in a first aspect a method for making composite active particles for use in a pharmaceutical composition for pulmonary administration, the method comprising a milling step in which particles of active material are milled in the presence of particles of an additive material which is suitable for the promotion of the dispersal of the composite active particles upon actuation of an inhaler.
  • the method of the invention will, in general, produce composite active particles.
  • the composite active particles are very fine particles of active material which have, upon their surfaces, an amount of the additive material.
  • the additive material is preferably in the form of a coating on the surfaces of the particles of active material.
  • the coating may be a discontinuous coating.
  • the additive material may be in the form of particles adhering to the surfaces of the particles of active material. As explained below, at least some of the composite active particles may be in the form of agglomerates.
  • the additive material promotes the dispersal of the composite active particles on administration of that composition to a patient, via actuation of an inhaler.
  • Actuation of an inhaler refers to the process during which a dose of the powder is removed from its rest position in the inhaler. That step takes place after the powder has been loaded into the inhaler ready for use.
  • the effectiveness of that promotion of dispersal has been found to be enhanced in comparison to a composition made by simple blending of similarly sized particles of active material with additive material.
  • the presence of the additive material on the surfaces of the particles of active material may confer controlled or delayed release properties and may provide a barrier to moisture.
  • milling refers to any mechanical process which applies sufficient force to the particles of active material that it is capable of breaking coarse particles (for example, particles of mass medium aerodynamic diameter greater than 100 ⁇ m) down to fine particles of mass median aerodynamic diameter not more than 50 ⁇ m or which applies a relatively controlled compressive force as described below in relation to the Mechano-Fusion and Cyclomix methods. It has been found that processes such as blending which do not apply a high degree of force are not effective in the method of the invention. It is believed that is because a high degree of force is required to separate the individual particles of active material and to break up tightly bound agglomerates of the active particles such that effective mixing and effective application of the additive material to the surfaces of those particles is achieved.
  • an especially desirable aspect of the milling process is that the additive material may become deformed in the milling and may be smeared over or fused to the surfaces of the active particles. It should be understood, however, that in the case where the particles of active material are already fine, for example, having a mass median aerodynamic diameter below 20 ⁇ prior to the milling step, the size of those particles may not be significantly reduced. The important thing is that the milling process applies a sufficiently high degree of force or energy to the particles.
  • the method of the invention generally involves bringing the additive particles into close contact with the surfaces of the active particles.
  • a degree of intensive mixing is required to ensure a sufficient break-up of agglomerates of both constituents, dispersal and even distribution of additive over the host active particles.
  • the additive particles are very small (typically ⁇ 1 micron)
  • generally less work is required, firstly as it is not required to break or deform but only to deagglomerate, distribute and embed the additive particles onto the active particle and secondly because of the naturally high surface energies of such small additive particles.
  • two powder components are mixed and the two components differ in size, there is a tendency for the small particles to adhere to the large particles (to form so called 'ordered mixes').
  • the short range Van der Waals interactions for such very fine components may be sufficient to ensure adhesion.
  • both additive and active particles are very fine (for example less than 5 microns) a substantial degree of mixing will be required to ensure a sufficient break-up of agglomerates of both constituents, dispersal and even distribution of additive particles over the active particles as noted above.
  • a simple contact adhesion may be insufficient and a stronger embedding or fusion of additive particles onto active particles is required to prevent segregation, or to enhance the structure and functionality of the coating.
  • the additive particles are not so small as to be sufficiently adhered by Van der Waals forces alone, or where there are advantages to distorting and/or embedding the additive particles substantially onto the host active particle, a greater degree of energy is required from the milling.
  • the additive particles should experience sufficient force to soften and/or break, to distort and to flatten them.
  • These processes are enhanced by the presence of the relatively harder active particles which act as a milling media as well as a de-agglomerating media for such processes. As a consequence of this process the additive particles may become wrapped around the core active particle to form a coating.
  • These processes are also enhanced by the application of a compressive force as mentioned above.
  • coatings may be formed.
  • the coatings originate from a combination of active and additive particles. They are not coatings such as those formed by wet processes that require dissolution of one or both components. In general, such wet coating processes are likely to be more costly and more time consuming than the milling process of the invention and also suffer from the disadvantage that it is less easy to control the location and structure of the coating.
  • a wide range of milling devices and conditions are suitable for use in the method of the invention.
  • the milling conditions for example, intensity of milling and duration, should be selected to provide the required degree of force.
  • Ball milling is a preferred method.
  • Centrifugal and planetary ball milling are especially preferred methods.
  • a high pressure homogeniser may be used in which a fluid containing the particles is forced through a valve at high pressure producing conditions of high shear and turbulence. Shear forces on the particles, impacts between the particles and machine surfaces or other particles and cavitation due to acceleration of the fluid may all contribute to the fracture of the particles and may also provide a compressive force.
  • Such homogenisers may be more suitable than ball mills for use in large scale preparations of the composite active particles.
  • Suitable homogensiers include EmulsiFlex high pressure homogenisers which are capable of pressures up to 4000 Bar, Niro Soavi high pressure homogenisers (capable of pressures up to 2000 Bar), and Microfluidics Microfluidisers (maximum pressure 2750 Bar).
  • the milling step may, alternatively, involve a high energy media mill or an agitator bead mill, for example, the Netzch high energy media mill, or the DYNO-mill (Willy A. Bachofen AG, Switzerland).
  • the milling may be a dry coating high energy process such as a Mechano-Fusion system (Hosokawa Micron Ltd) or a Hybridizer (Nara).
  • Other possible milling devices include air jet mills, pin mills, hammer mills, knife mills, ultracentrifugal mills and pestle and mortar mills.
  • Especially preferred methods are those involving the Mechano-Fusion, Hybridiser and Cyclomix instruments.
  • the milling step involves the compression of the mixture of active and additive particles in a gap (or nip) of fixed, predetermined width (for example, as in the Mechano-Fusion and Cyclomix methods described below).
  • this dry coating process is designed to mechanically fuse a first material onto a second material.
  • the first material is generally smaller and/or softer than the second.
  • the Mechano-Fusion and Cyclomix working principles are distinct from alternative milling techniques in having a particular interaction between inner element and vessel wall, and are based on providing energy by a controlled and substantial compressive force.
  • the fine active particles and the additive particles are fed into the Mechano-Fusion driven vessel, where they are subject to a centrifugal force and are pressed against the vessel inner wall.
  • the powder is compressed between the fixed clearance of the drum wall and a curved inner element with high relative speed between drum and element.
  • the inner wall and the curved element together form a gap or nip in which the particles are pressed together.
  • the particles experience very high shear forces and very strong compressive stresses as they are trapped between the inner drum wall and the inner element (which has a greater curvature than the inner drum wall).
  • the particles violently collide against each other with enough energy to locally heat and soften, break, distort, flatten and wrap the additive particles around the core particle to form a coating.
  • the energy is generally sufficient to break up agglomerates and some degree of size reduction of both components may occur. Embedding and fusion of additive particles onto the active particles may occur, and may be facilitated by the relative differences in hardness (and optionally size) of the two components. Either the outer vessel or the inner element may rotate to provide the relative movement.
  • the gap between these surfaces is relatively small, and is typically less than 10mm and is preferably less than 5mm, more preferably less than 3mm. This gap is fixed, and consequently leads to a better control of the compressive energy than is provided in some other forms of mill such as ball and media mills. Also, in general, no impaction of milling media surfaces is present so that wear and consequently contamination are minimised.
  • the speed of rotation may be in the range of 200 to 10,000rpm.
  • a scraper may also be present to break up any caked material building up on the vessel surface. This is particularly advantageous when using fine cohesive starting materials.
  • the local temperature may be controlled by use of a heating/cooling jacked built into the drum vessel walls. The powder may be re-circulated through the vessel.
  • the Cyclomix comprises a stationary conical vessel with a fast rotating shaft with paddles which move close to the wall. Due to the high rotational speed of the paddles, the powder is propelled towards the wall, and as a result the mixture experiences very high shear forces and compressive stresses between wall and paddle. Such effects are similar to the Mechano-Fusion as described above and may be sufficient to locally heat and soften, to break, distort, flatten and wrap the additive particles around the active particles to form a coating. The energy is sufficient to break up agglomerates and some degree of size reduction of both components may also occur depending on the conditions and upon the size and nature of the particles.
  • the fine active particles and fine or ultra fine additive particles are fed into a conventional high shear mixer pre-mix system to form an ordered mixture.
  • This powder is then fed into the Hybridiser.
  • the powder is subjected to ultra-high speed impact, compression and shear as it is impacted by blades on a high speed rotor inside a stator vessel, and is re-circulated within the vessel.
  • the active and additive particles collide with each other. Typical speeds of rotation are in the range of 5,000 to 20,000rpm.
  • the relatively soft fine additive particles experience sufficient impact force to soften, break, distort, flatten and wrap around the active particle to form a coating. There may also be some degree of embedding into the surface of the active particles.
  • ball and high energy media mills which are also capable of providing the desired high shear force and compressive stresses between surfaces, although as the clearance gap is not controlled, the coating process may be less well controlled than for Mechano-Fusion milling and some problems such as a degree of undesired re-agglomeration may occur.
  • These media mills may be rotational, vibrational, agitational, centrifugal or planetary in nature.
  • Liquid media are preferred which do not dissolve the active material and which evaporate rapidly and fully, for example non-aqueous liquids such as diethylether, acetone, cyclohexane, ethanol, isopropanol or dichloromethane. Liquid media are preferred which are non flammable, for example dichloromethane and fluorinated hydrocarbons, especially fluorinated hydrocarbons which are suitable for use as propellants in inhalers.
  • Pestle and mortar mills are other mills which also provide a very high shear force and compressive stresses between surfaces.
  • Mechano-Micros and Micros mills made by Nara may also be used. Mills referred to impact mixers, attrition mills, pin mills and disc mills may also be used.
  • the mass median aerodynamic diameter of the particles of active material may be substantially reduced during the milling step especially when the active material is in the form of coarse particles prior to the milling step.
  • the mass median aerodynamic diameter (MMAD) of the particles of active material may be reduced by at least 10%, by at least 50%, or by at least 70% during the milling step depending on the milling conditions and the MMAD of the active particles prior to the milling step.
  • the MMAD of the active particles is less than 9 ⁇ m, preferably less then 4 ⁇ m and more preferably less then 2 ⁇ m.
  • the additive material is in the form of coarse particles prior to the milling step
  • their MMAD will be substantially reduced during the milling step.
  • the MMAD of the particles of additive material may be reduced by at least 10%, at least 50% or at least 70% during the milling step, depending on the milling conditions and on the MMAD of the particles of additive material before the milling step.
  • the size of the additive particles after the milling step is preferably significantly less than the size of the active particles, to enable the additive materials to more effectively coat the surfaces of the active particles. In practice, that difference in size between the active particles and additive particles is likely to be achieved as a consequence of the milling because the additive material will usually be more easily fractured or deformed than the active material and so will be broken into smaller particles than the active material.
  • the particles of additive material preferably become smeared over or fused to the surfaces of the particles of active material, thereby forming a coating which may be substantially continuous or discontinuous.
  • the coating is discontinuous, it preferably covers, on average, at least 50% (that is, at least 50% of the total surface area of the active particles will be covered by additive material), more advantageously at least 70% and most preferably at least 90% of the surfaces of the active particles.
  • the coating is preferably on average less than 1 ⁇ m, more preferably less than 0.5 ⁇ m and most preferably less than 200nm thick.
  • the milling step may be carried out in a closed vessel, for example in a ball mill or a Mechano-Fusion device.
  • a closed vessel prevents loss of ultrafine particles or vapour of the additive material which has been found to occur in jet milling or other open processes.
  • the milling is not jet milling (micronisation).
  • the milling may be wet milling, that is, the milling step may be carried out in the presence of a liquid.
  • That liquid medium may be high or low volatility and of any solid content as long as it does not dissolve the active particles to any significant degree and its viscosity is not so high that it prevents effective milling.
  • the liquid medium preferably is not aqueous.
  • the liquid is preferably one in which the additive material is substantially insoluble but some degree of solubility may be acceptable as long as there is sufficient additive material present that undissolved particles of additive material remain.
  • the presence of a liquid medium helps to prevent compacting of the particles of active material on the walls of the vessel and may also allow the more even spreading of the additive material on the surface of the particles of active material as compared to dry milling.
  • the mass median aerodynamic diameter of the composite active particles is preferably not more than 10 ⁇ m, and advantageously it is not more than 5 ⁇ m, more preferably not more than 3 ⁇ m and most preferably not more than 1 ⁇ m. Accordingly, advantageously at least 90% by weight of the composite active particles have a diameter of not more than 10 ⁇ m, advantageously not more than 5 ⁇ m, preferably not more than 3 ⁇ m and more preferably not more than 1 ⁇ m.
  • the active particles will be of a suitable size for inhalation to the desired part of the lung, for example, having an MMAD in the range of 3 to 0.1 ⁇ m for absorption in the deep lung, 5 to 0.5 ⁇ m for absorption in the respiratory bronchioles, 10 to 2 ⁇ m for delivery to the higher respiratory system and 2 to 0.05 ⁇ m for delivery to the alveoli.
  • the diameter of at least 90% by weight of the composite active particles have an aerodynamic diameter in the range of 3 to 0.1 ⁇ m, preferably 5 to 0.5 ⁇ m, advantageously 10 to 2 ⁇ m, and especially advantageously 2 to 0.05 ⁇ m.
  • the MMAD of the active particles will not normally be lower than 0.01 ⁇ m.
  • the composite active particles produced after the milling step may be of a suitable size for delivery to the desired part of the respiratory system.
  • the composite active particles may be smaller than that suitable size or at least some of the composite active particles may, after the milling step, be in the form of agglomerates which are larger than the suitable size.
  • the method therefore preferably also comprises, after the milling step, a processing step in which the degree of agglomeration of the composite active particles is changed.
  • the processing step may be an agglomeration step in which the particles of active material agglomerate to form agglomerated composite active particles. In that way agglomerates of a size tailored to the requirement may be produced.
  • the composite active particles are agglomerated in a drying step (as described below) to form agglomerated composite active particles.
  • the agglomeration step is a spray drying step.
  • the spray drying conditions may be selected to produce droplets having a desired size in the range of 1000 ⁇ m to 0.5 ⁇ m.
  • the size of the agglomerates produced will depend largely on the concentration of the composite active particles in the spray feed and the droplet size. Other materials, for example, binders may be included in the spray feed.
  • the suspension or slurry may be spray dried directly after the milling step.
  • Agglomeration may also be conducted in a fluid bed dryer or granulator.
  • the processing step may be a deagglomeration step.
  • the deagglomeration step may involve mechanical breaking up of the unwanted agglomerates, for example, by forcing them through a sieve or by subjecting them to a treatment in a dry fluidised bed, a jet mill, a ball mill or other form of milling device. The intensity and/or duration of that treatment step will, in general, be less that of the milling step.
  • the deagglomeration step may also be a spray drying step because, whilst spray drying as a drying step is particularly useful in preparing agglomerated composite active particles, by appropriate control of the conditions it is possible to produce the composite active particles largely as single particles rather than as agglomerates.
  • agglomerated composite active particles refers to particles which consist of more than one composite active particle, those composite active particles being adhered to each other. Where the agglomerated particles are for inhalation they will preferably have a MMAD which renders them suitable for deposition in the desired part of the lung.
  • the method comprises, after the milling step, a drying step in which a mixture of the composite active particles and a liquid is dried to remove the liquid.
  • the mixture may be in the form of a slurry or suspension.
  • the drying step especially when spray drying is used, the degree of agglomeration of the composite active particles may change, in which case the drying step is the same step as the processing step mentioned above.
  • the drying step may be included for other reasons, for example, when the milling is wet milling, and it is desired to produce the composite active particles as a dry powder.
  • the drying step may involve filtration followed by drying, or evaporation of the liquid.
  • the drying step is a spray drying step.
  • the liquid may be evaporated slowly or the drying step may be a freeze drying step.
  • the milling is preferably dry, that is to say, there is no liquid present during the milling and the mixture to be milled is in the form of a dry particulate.
  • liquid may be added after the milling step, usually in order that a drying step be used to form agglomerated composite active particles, as described above.
  • the milling step is carried out at a reduced temperature, for example, below 10°C and preferably below 0°C.
  • a reduced temperature for example, below 10°C and preferably below 0°C.
  • Such low temperature conditions may increase the efficiency of the milling step and/or reduce decomposition of the active material.
  • the optimum amount of additive material will depend on the chemical composition and other properties of the additive material and upon the nature of the active material and/or excipient material.
  • the amount of additive material in the composite particles will be not more than 60% by weight, based on the weight of the active material and/or excipient material. However, it is thought that for most additive materials the amount of additive material should be in the range of 40% to 0.25%, preferably 30% to 0.5%, more preferably 20% to 2%, based on the total weight of the additive material and the active material being milled. In general, the amount of additive material is at least 0.01% by weight based on the weight of the active material.
  • additive particles and “particles of additive material” are used interchangeably herein.
  • the additive particles comprise one or more additive materials.
  • the additive particles consist essentially of the additive material.
  • the additive material is an anti-adherent material and will tend to decrease the cohesion between the composite active particles and between the composite active particles and any other particles present in the pharmaceutical composition.
  • the additive material is an anti-friction agent (glidant) and will give better flow of the pharmaceutical composition in, for example, a dry powder inhaler which will lead to a better dose reproducibility.
  • glidant anti-friction agent
  • an anti-adherent material or to an anti-friction agent
  • the reference is to include those materials which are able to decrease the cohesion between the particles, or which will tend to improve the flow of powder in an inhaler, even though they may not usually be referred to as anti-adherent material or an anti-friction agent.
  • leucine is an anti-adherent material as herein defined and is generally thought of as an anti-adherent material but lecithin is also an anti-adherent material as herein defined, even though it is not generally thought of as being anti-adherent, because it will tend to decrease the cohesion between the composite active particles and between the composite active particles and any other particles present in the pharmaceutical composition.
  • the additive material may include a combination of one or more materials.
  • the chemical composition of the additive material is of particular importance.
  • the additive material is a naturally occurring animal or plant substance.
  • the additive material includes one or more compounds selected from amino acids and derivatives thereof, and peptides and derivatives thereof.
  • Amino acids, peptides and derivatives of peptides are physiologically acceptable and give acceptable release of the active particles on inhalation.
  • the additive material may comprise an amino acid.
  • the additive material may comprise one or more of any of the following amino acids: leucine, isoleucine, lysine, valine, methionine, phenylalanine.
  • the additive may be a salt or a derivative of an amino acid, for example aspartame or acesulfame K.
  • the additive particles consist substantially of an amino acid, more preferably of leucine, advantageously L-leucine.
  • the D- and DL-forms may also be used.
  • leucine has been found to give particularly efficient dispersal of the active particles on inhalation.
  • the additive material may include one or more water soluble substances. This helps absorption of the substance by the body if the additive reaches the lower lung.
  • the additive material may include dipolar ions, which may be zwitterions.
  • the additive material may comprise a phospholipid or a derivative thereof.
  • Lecithin has been found to be a good material for the additive material.
  • the additive material comprises a metal stearate, or a derivative thereof, for example, sodium stearyl fumarate or sodium stearyl lactylate.
  • the additive material comprises a metal stearate.
  • the additive material comprises magnesium stearate.
  • the additive material may include or consist of one or more surface active materials, in particular materials that are surface active in the solid state, which may be water soluble, for example lecithin, in particular soya lecithin, or substantially water insoluble, for example solid state fatty acids such as oleic acid, lauric acid, palmitic acid, stearic acid, erucic acid, behenic acid, or derivatives (such as esters and salts) thereof such as glyceryl behenate.
  • surface active materials in particular materials that are surface active in the solid state, which may be water soluble, for example lecithin, in particular soya lecithin, or substantially water insoluble, for example solid state fatty acids such as oleic acid, lauric acid, palmitic acid, stearic acid, erucic acid, behenic acid, or derivatives (such as esters and salts) thereof such as glyceryl behenate.
  • phosphatidylcholines phosphatidylethanolamines, phosphatidylglycerols and other examples of natural and synthetic lung surfactants
  • lauric acid and its salts for example, sodium lauryl sulphate, magnesium lauryl sulphate
  • triglycerides such as Dynsan 118 and Cutina HR
  • sugar esters in general.
  • additive materials include sodium benzoate, hydrogenated oils which are solid at room temperature, talc, titanium dioxide, aluminium dioxide, silicon dioxide and starch.
  • the additive material preferably comprises one or more materials selected from the group consisting of amino acids, lecithins, phospholipids, sodium stearyl fumarate, glyceryl behenate and metal stearates (especially magnesium stearate).
  • active particles and “particles of active material” are used interchangeably herein.
  • the active particles referred to throughout the specification will comprise one or more pharmacologically active agents.
  • the active particles advantageously consist essentially of one or more pharmacologically active agents.
  • Suitable pharmacologically active agents may be materials for therapeutic and/or prophylactic use.
  • Active agents which may be included in the formulation include those products which are usually administered orally by inhalation for the treatment of disease such as respiratory disease, for example, B-agonists.
  • the active particles may comprise at least one B2-agonist, for example one or more compounds selected from terbutaline, salbutamol, salmeterol and formetorol. If desired, the active particles may comprise more than one of those active agents, provided that they are compatible with one another under conditions of storage and use. Preferably, the active particles are particles of salbutamol sulphate. References herein to any active agent is to be understood to include any physiologically acceptable derivative. In the case of the B 2 -agonists mentioned above, physiologically acceptable derivatives include especially salts, including sulphates.
  • the active particles may be particles of ipatropium bromide.
  • the active particles may include a steroid, which may be beclomethasone dipropionate or may be Fluticasone.
  • the active principle may include a cromone which may be sodium cromoglycate or nedocromil.
  • the active principle may include a leukotriene receptor antagonist.
  • the active particles may include a carbohydrate, for example heparin.
  • the active particles may advantageously comprise a pharmacologically active agent for systemic use and advantageously they are capable of being absorbed into the circulatory system via the lungs.
  • the active particles may comprise peptides or polypeptides such as Dnase, leukotrienes or insulin.
  • the pharmaceutical compositions of the invention may in particular have application in the administration of insulin to diabetic patients, preferably avoiding the normally invasive administration techniques used for that agent.
  • the composite active particles could also be used for the local administration of other agents for example for pain relief (e.g. analgesics such as Fentanyl or dihydroergotamine which is used for the treatment of migraine), anti cancer activity, anti-virals, antibiotics or the local delivery of vaccines to the respiratory tract.
  • the active particles Whilst it will often be desired to obtain the composite active particles in dry form, as described above, where the pharmaceutical composition is one comprising a liquid, for example, as propellant, it may be preferable for the active particles to be milled in the presence of that liquid and to omit the drying step, simply using the slurry or suspension of the composite active particles in the liquid as an ingredient in the pharmaceutical composition.
  • the pharmaceutical composition is for use in a pMDI
  • the active particles and the additive material may be milled in the presence of liquid propellant (under pressure or at below room temperature if necessary).
  • the resulting slurry may be used directly in a pMDI or further materials may be added, for example, more propellant, surfactants, or co-solvents.
  • the invention also provides, in one embodiment, a method of making composite active particles for use in a pharmaceutical composition, the method comprising a milling step in which particles of active material are milled in the presence of a liquid and an additive material which is suitable for the promotion of the dispersal of the composite active particles upon actuation of a delivery device.
  • the liquid comprises a propellant suitable for use in a pMDI.
  • propellants include CFC-12, HFA-134a, HFA-227, HCFC-22 (difluorochlormethane), HCFC-123 (dicholorotrifluorethane), HCFC-124 (chlorotetrafluoroethane), dimethyl ether, propane, n-butane, isobutane, HFA-125 (pentafluoroethane) and HFA-152 (difluoroethane).
  • the method may also include a drying step, preferably a spray drying step.
  • the invention provides a method of making composite active particles for use in a pharmaceutical composition, the method comprising a wet milling step in which the particles of active material are milled in the presence of a liquid and an additive material which is suitable for the promotion of the dispersal of the composite active particles upon actuation of a delivery device; and a drying step in which the liquid is removed.
  • the conditions of the drying step may be chosen either to provide agglomerated composite active particles of a desired size or to provide substantially unagglomerated particles, that is, individual composite active particles.
  • the composite active particles may then be agglomerated by mixing with a liquid and drying to give agglomerated composite active particles.
  • the invention provides a method of making agglomerated composite active particles for use in a pharmaceutical composition, the method comprising:
  • the invention also provides composite active particles for use in a pharmaceutical composition, preferably a pharmaceutical composition for inhalation, more preferably a powder for a dry powder inhaler.
  • the invention also provides composite active particles for use in a pharmaceutical composition, each composite active particle comprising a particle of active material and additive material on the surface of that particle of active material, the composite active particles having a mass median aerodynamic diameter of not more than 2 ⁇ m, the additive material being suitable for the promotion of the dispersal of the composite active particles upon actuation of a delivery device.
  • the composite active particles Preferably, have a MMAD of not more than 1 ⁇ m, especially advantageously not more than 0.5 ⁇ m.
  • the composite particles may be in the form of agglomerated composite particles.
  • MMAD may be determined using an impinger, for example, a multi-stage liquid impinger.
  • Volume median diameters and measurements of the proportion of particles having a diameter less than a certain value may be determined by the Malvern laser light scattering method.
  • the composite active particles do not comprise significant amounts (more then 10% by weight) of a polymer of a type which would result in the particles becoming sticky.
  • a polymer of a type which would result in the particles becoming sticky.
  • Such polymers include polymers of a alpha-hydroxycarboxylic acid, for example, polylactic acid, copolymers of lactic acid and block copolymers such as ethylene oxide/propylene oxide block copolymers or poloxamines.
  • the invention further provides a pharmaceutical composition comprising composite active particles.
  • the pharmaceutical composition is a dry powder and is suitable for use in a dry powder inhaler.
  • Such pharmaceutical compositions may comprise essentially only the composite active particles or they may comprise additional ingredients such as carrier particles and flavouring agents.
  • Carrier particles may be of any acceptable excipient material or combination of materials.
  • the carrier particles may be composed of one or more materials selected from sugar alcohols, polyols and crystalline sugars.
  • Other suitable carriers include inorganic salts such as sodium chloride and calcium carbonate, organic salts such as sodium lactate and other organic compounds such as polysaccharides and oligosaccharides.
  • the carrier particles are of a polyol.
  • the carrier particles may be particles of crystalline sugar, for example mannitol, dextrose or lactose.
  • the carrier particles are of lactose.
  • substantially all (by weight) of the carrier particles have a diameter which lies between 20 ⁇ m and 1000 ⁇ m, more preferably 50 ⁇ m and 1000 ⁇ m.
  • the diameter of substantially all (by weight) of the carrier particles is less than 355 ⁇ m and lies between 20 ⁇ m and 250 ⁇ m.
  • at least 90% by weight of the carrier particles have a diameter between from 60 ⁇ m to 180 ⁇ m.
  • the relatively large diameter of the carrier particles improves the opportunity for other, smaller particles to become attached to the surfaces of the carrier particles and to provide good flow and entrainment characteristics and improved release of the active particles in the airways to increase deposition of the active particles in the lower lung.
  • the ratio in which the carrier particles (if present) and composite active particles are mixed will, of course, depend on the type of inhaler device used, the type of active particles used and the required dose.
  • the carrier particles may be present in an amount of at least 50%, more preferably 70%, advantageously 90% and most preferably 95% based on the combined weight of the composite active particles and the carrier particles.
  • composition preferably also includes small excipient particles having, for example, a particle size between 5 to 20 ⁇ m.
  • small excipient particles are present in an amount of from 1% to 40%, more preferably 5% to 20% based on the weight of the carrier particles.
  • compositions for use in a dry powder inhaler which include carrier particles will preferably include at least 2%, more preferably at least 5% and most preferably at least 10% by weight of the composite active particles based on the total mass of the composition.
  • the composite active particles are especially suitable for dry powder compositions which do not include significant amounts of carrier particles and in such compositions the composite active particles will preferably be present in a proportion of at least 60%, more preferably at least 80% by weight based on the total weight of the composition.
  • the pharmaceutical composition may comprise a propellant and be suitable for use in a pressurised metered dose inhaler.
  • the invention also provides the use of an additive material as a milling aid in the milling of particles of active material.
  • milling aid should be understood to refer to a substance which reduces the amount of energy required to mill the particles of active material and/or excipient material.
  • Micronised salbutamol sulphate and magnesium stearate were combined as particles in a suspension in the ratio 10:1 in propanol.
  • This suspension was processed in an Emulsiflex C50 high pressure homogeniser by 5 sequential passes through the system at 25,000 psi. This dry material was then recovered by evaporating the propanol. The particles are shown in Figure 3 .
  • Example 1 the powder prepared in Example 1 including magnesium stearate as additive material formed assemblies of primary particles which were hard to deagglomerate.
  • a sample of this powder was re-dispersed by ball milling for 90 minutes at 550 rpm in a mixture of ethanol, polyvinylpyrolidone (PVPK30) and HFA227 liquid propellant to give the following composition: 0.6% w/w Salbutamol sulphate/magnesium stearate composite particles 0.2% w/w PVPK30 5.0% w/w Ethanol 94.2% w/w HFA 227
  • the PVP was included to stabilise the suspension of the composite particles in the ethanol/HFA227).
  • the suspension could be used directly as in a pMDI.
  • the composition was sprayed from a pressurised can through an orifice ⁇ 0.4mm in diameter to produce dried composite active particles of salbutamol sulphate and magnesium stearate with PVP. Those particles (shown in Figures 4 and 5 ) were collected and examined and were found to be in the aerodynamic size range 0.1 to 4 ⁇ m.
  • Example 2 The process of Example 2 was repeated except that the composition was as follows: 3% w/w Salbutamol sulphate/magnesium stearate composite particles 1% w/w PVPK30 3% w/w Ethanol 93% w/w HFA 227
  • the dichloroethane was removed by rotary evaporation followed by drying in a vacuum over at 37°C overnight. The resulting cake of material was broken up by ball milling for 1 minute.
  • the homogenised magnesium stearate had a particle size of less than 2 ⁇ m.
  • a 9:1 by weight blend of salbutamol sulphate and homogenised magnesium stearate having a particle size of less than 2 ⁇ m was prepared by blending the two materials with a spatula. An electron micrograph of the blended material showed that the blend was mostly in the form of agglomerated particles, the agglomerates having diameters of 50 ⁇ m and above.
  • the Mechano-Fusion device (see Figure 8 ) comprises a cylindrical drum 1 having an inner wall 2.
  • the drum rotates at high speed.
  • the powder 3 of the active and additive particles is thrown by centrifugal force against the inner wall 2 of the drum 1.
  • a fixed arm 4 projects from the interior of the drum in a radial direction.
  • the arm is provided with a member 5 which presents an arcuate surface 6, of radius of curvature less than that of inner wall 2, toward that inner wall.
  • the drum 1 rotates, it carries powder 3 into the gap between arcuate surface 6 and inner wall 2 thereby compressing the powder.
  • the gap is of a fixed, predetermined width A.
  • a scraper (not shown in Figure 8 ) may be provided to scrape the compressed powder from the wall of the drum.
  • Electronmicrographs of the 19:1 processed material are shown in Figures 9 and 10 and indicate that the material was mostly in the form of simple small particles of diameter less than 5 ⁇ m or in very loose agglomerates of such particles with only one agglomerate of the original type being visible.
  • Fine Particle Fraction results for salbutamol sulphate blends Composition Fine Particle Fraction % salbutamol sulphate 28 salbutamol sulphate/magnesium stearate 19:1 66 salbutamol sulphate/magnesium stearate 3:1 66
  • Micronised glycopyrrolate and homogenised magnesium stearate (as described in Example 4) were combined in a weight ratio of 75:25.
  • This blend ( ⁇ 20g) was then milled in the Mechano-Fusion AMS-Mini system as follows. The powder was pre-mixed for 5 minutes at ⁇ 900rpm. The machine speed was then increased to ⁇ 4,800rpm for 30 minutes. During the milling treatment the Mechano-Fusion machine was run with a 3mm clearance between element and vessel wall, and with cooling water applied. The powder of composite active particles was then recovered from the drum vessel.

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GB0029261A GB0029261D0 (en) 2000-11-30 2000-11-30 Method of making particles for use in a pharmaceutical composition
GB0030946A GB0030946D0 (en) 2000-12-19 2000-12-19 Method of making particles for use in a pharmaceutical composition
PCT/GB2001/001606 WO2001076575A2 (fr) 2000-04-07 2001-04-09 Traitement de troubles respiratoires
GB0124010A GB0124010D0 (en) 2001-10-05 2001-10-05 Pharmaceutical compositions for inhalation
EP01998328.7A EP1337240B2 (fr) 2000-11-30 2001-11-30 Procede de preparation de particules destinees a etre utilisees dans une composition pharmaceutique
EP10185643.3A EP2283818B1 (fr) 2000-11-30 2001-11-30 Procede de preparation de particules destinees a etre utilisees dans une composition pharmaceutique

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EP10185643.3A Division EP2283818B1 (fr) 2000-11-30 2001-11-30 Procede de preparation de particules destinees a etre utilisees dans une composition pharmaceutique

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EP10183504A Withdrawn EP2298285A3 (fr) 2000-11-30 2001-11-30 Méthode pour la préparation de particules utilisées dans des compositions pharmaceutiques
EP10185643.3A Revoked EP2283818B1 (fr) 2000-11-30 2001-11-30 Procede de preparation de particules destinees a etre utilisees dans une composition pharmaceutique
EP10182218.7A Revoked EP2298279B1 (fr) 2000-11-30 2001-11-30 Compositions pharmaceutiques pour l'inhalation
EP10181899.5A Revoked EP2283817B1 (fr) 2000-11-30 2001-11-30 Procédé de préparation de particules destinées à être utilisées dans une composition pharmaceutique
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EP10182218.7A Revoked EP2298279B1 (fr) 2000-11-30 2001-11-30 Compositions pharmaceutiques pour l'inhalation
EP10181899.5A Revoked EP2283817B1 (fr) 2000-11-30 2001-11-30 Procédé de préparation de particules destinées à être utilisées dans une composition pharmaceutique
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